Organization · NPI-2

Crisis Center Of Nnm

Community/Behavioral Health · Espanola, NM

NPI number1306068895
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1306068895
Entity type
Organization (NPI-2)
Legal business name
Crisis Center Of Nnm
Organization subpart
No
Enumeration date
May 3, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health1271NMYes

Practice location

577 El Llano Rd
Espanola, NM 87532

Phone 505-753-1656 · Fax 505-753-7743

Mailing address

577 El Llano Rd
Espanola, NM 87532

Phone 505-753-1656 · Fax 505-753-7743

Authorized official

Carol Ann Merriweather
Executive Director
5057531656

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